Children Living With Uninsured Family Members: Differences by Family Structure

Despite increased access to insurance through the Patient Protection and Affordable Care Act of 2010, uninsurance rates are expected to remain relatively high. Having uninsured family members may expose children to financial hardships. Eligibility rules governing both private and public health insurance are based on outdated expectations about family structure. Using 2009–2011 data from the National Health Interview Survey (N = 65,038), the authors investigated family structure differences in family‐level insurance coverage of households with children. Children living with married biological parents were the least likely to have uninsured family members and most likely to have all family members covered by private insurance. Controlling for demographic characteristics and income, children in single‐mother families had the same risk of having an uninsured family member as children in married‐parent families. Children with cohabiting biological parents had higher rates of family uninsurance than children with married biological parents, even accounting for other characteristics.     

Child health and parental paid work

We ask how the paid work of Canadian married mothers and fathers is affected when a child has a physical/mental condition or health problem that leads to restrictions in daily activities. Using the Statistics Canada National Longitudinal Survey of Children and Youth, we find that married mothers of children with disabilities are less likely to engage in paid work and/or work fewer paid hours per week. No statistically significant changes in paid work participation or hours are apparent for fathers of the same children. We find, moreover, evidence that the degree of specialization within families increases when there is a child with a disability. These responses are consistent with traditional gender roles within families, and may make sense as a ‘household’ coping strategy. However, such a division of labor may generate economic vulnerability for mothers compared to fathers.     

High school graduation rates among children of same-sex households

Almost all studies of same-sex parenting have concluded there is “no difference” in a range of outcome measures for children who live in a household with same-sex parents compared to children living with married opposite-sex parents. Recently, some work based on the US census has suggested otherwise, but those studies have considerable drawbacks. Here, a 20 % sample of the 2006 Canada census is used to identify self-reported children living with same-sex parents, and to examine the association of household type with children’s high school graduation rates. This large random sample allows for control of parental marital status, distinguishes between gay and lesbian families, and is large enough to evaluate differences in gender between parents and children. Children living with gay and lesbian families in 2006 were about 65 % as likely to graduate compared to children living in opposite sex marriage families. Daughters of same-sex parents do considerably worse than sons.     

Feeling Caught Between Parents: Adult Children's Relations With Parents and Subjective Well‐Being

Research on divorce has found that adolescents’ feelings of being caught between parents are linked to internalizing problems and weak parent‐child relationships. The present study estimates the effects of marital discord, as well as divorce, on young adult offspring's feelings of being caught in the middle (N =632). Children with parents in high‐conflict marriages were more likely than other children to feel caught between parents. These feelings were associated with lower subjective well‐being and poorer quality parent‐child relationships. Offspring with divorced parents were no more likely than offspring with continuously married parents in low‐conflict relationships to report feeling caught. Feelings of being caught appeared to fade in the decade following parental divorce. These results suggest that, unlike children of divorce, children with parents in conflicted marriages (who do not divorce) may be unable to escape from their parents’ marital problems—even into adulthood.     

Coresidence and Geographic Proximity of Mothers and Adult Children in Stepfamilies

Children who live with or near a parent provide more care and receive more help from parents than geographically distant children. Stepfamily ties may be weaker than ties between biological kin, but little is known about the geographic proximity of step‐ versus biological kin. The authors used data from the Health and Retirement Study (N = 13,239 mothers and 45,675 biological and stepchildren) to show that stepchildren and stepmothers are less likely to live together, less likely to live nearby, and less likely to move closer than biological children and mothers. When mothers have only stepchildren, they are less likely to have a coresident child or a child nearby than mothers with both step‐ and biological children. Coresidence and geographic proximity are lower in stepfamilies formed after divorce than after widowhood. The findings are consistent with a legacy of conflict and strain and the likely competing needs of biological and stepmothers.     

Children’s Mental Disorders and Their Mothers’ Earnings: Implications for the Affordable Care Act of 2010

Children with emotional and behavioral problems (EBP) may have a negative effect on their mothers’ earnings because they require additional time for treatment. On the other hand, children with EBP require additional financial resources, which may increase their mothers’ earnings through an increase in work activities. This study examined the impact of children’s EBP on parental earnings, while accounting for omitted variable bias. This study found significant reductions of single mothers’ wage rate/annual earnings if their children have EBP. Conversely, children’s EBP increased their married mothers’ hourly wage. These results have important implications in terms of public policy such as the Affordable Care Act (ACA) of 2010 in terms of expanding health insurance coverage to children with EBP to have access to appropriate treatment.     

The impact of child support on child health

The broad goals of child support policy are to keep children in single-parent families out of poverty and to make sure that their material needs are met. One potentially important, but relatively understudied, set of measures of child well-being are health outcomes. A fixed-effects analysis of data from the Child and Young Adult file of the 1979 National Longitudinal Survey of Youth shows that, conditional upon receipt of some amount of child support, higher payment levels are associated with significantly greater odds of having private health insurance coverage and significantly lower odds of poor or declining health status. These effects persist even after controlling for other factors that are likely to be correlated with child support payments, including total family income and paternal visitation patterns.     

Negotiating Languages in Immigrant Families

This study is about the multifaceted nature of language use in immigrant families. Following earlier explorations of language in the segmented assimilation framework and using adolescent and parental data from the 1995 wave of the Children of Immigrants Longitudinal Study, this article examines how adolescents’ use of English with their parents relates to their proficiency in English and ethnic languages, and their personal language preferences, as well as their parents’ language proficiency and use. The findings suggested that adolescent language choice in child–parent interactions reflected the family’s ways to negotiate the distinct linguistic repertoires of immigrant parents and their children. The adolescent use of English was not necessarily associated with social and emotional estrangement between generations. Even when adolescents generally preferred English, they were less likely to use English in child–parent interactions if their parents, particularly their mothers, were less proficient in English. On the other hand, adolescents were more likely to speak English to their parents if their mothers were proficient in English, regardless of what language parents used with the children. Parents who spoke to their children in English likely responded to their children’s doubts about their ethnic language proficiency and were linguistically and emotionally ready to make that transition.     

The Prevalence and Correlates of Multipartnered Fertility Among Urban U.S. Parents

Recent trends in marriage and fertility have increased the number of adults having children by more than 1 partner, a phenomenon that we refer to as multipartnered fertility. This article uses data from the Fragile Families and Child Wellbeing Study to examine the prevalence and correlates of multipartnered fertility among urban parents of a recent birth cohort (N = 4,300). We find that unmarried parents are much more likely to have had a child by a previous partner than married parents. Also, race/ethnicity is strongly associated with multipartnered fertility, as is mothers’ young age at first birth, and fathers’ history of incarceration. To the extent that childrearing across households diminishes parental resources, multipartnered fertility has important consequences for children’s well‐being.     

Exploratory analysis of child protection mediation permanency placement outcomes

Using a merged data set constructed from empirical data obtained from Child Protective Services (CPS) and a nonprofit agency tasked with conducting an evaluation of a child protection mediation pilot project in the state in which this study was conducted, this study (N = 311) explores how various child and family factors in child protection mediation cases affect placement outcomes for children in care. Results of the multinomial logistic regression (MLR) analyses found that children for whom parent/caregiver substance abuse and/or mental illness was an issue were less likely to be reunified with their parents than remain in care. Those children who experienced a higher number of placements and those who were male were less likely to be placed with relatives. Children whose parents experienced mental health issues were less likely to be placed with a relative. With regard to the permanency outcome of adoption, the findings showed that as the age of the child at time of removal increased, children were less likely to be adopted than remain in care. Additionally, African American children in the sample were less likely to be adopted.     

Reciprocity in relationships: socio-economic and health influences on intergenerational exchanges between Third Age parents and their adult children in Great Britain

In this paper data from a nationally representative British longitudinal study are used to analyse exchanges of support between Third Age parents (aged 55-75) and their adult children. Results show that between two thirds and three quarters of parents in this age group were involved in some sort of exchange relationship with at least one of their children. Generally, more Third Age parents were providers than recipients of help, but there was a strong reciprocal element to intergenerational exchange with, for example, married parents who provided support to at least one child being twice as likely as those who did not to receive support from a child, after allowance for a range of relevant parental and child characteristics. Parental characteristics associated with higher probability of providing help included higher income, home ownership and being married or widowed rather than divorced. Higher income and home ownership were, however, negatively associated with odds of receiving help from a child, again after adjustment for other co-variates, suggesting socio-economic differences in the balance of support exchanges. Children seem responsive to parental needs in that receipt of help from a child was positively associated with older parental age and with parental disability. The paper shows that in Britain, as in the USA, the balance of intergenerational exchanges involving Third Age adults is downward rather than upward, in contravention of depictions of older adults as 'burdens' on younger generations. Current demographic and social changes are, it is argued, likely to increase support demands from adult children to Third Age parents in coming decades.     

Parental Divorce and Child Mental Health Trajectories

A process‐oriented approach to parental divorce locates the experience within the social and developmental context of children's lives, providing greater insight into how parental divorce produces vulnerability in some children and resiliency in others. The current study involves prospectively tracking a nationally representative sample of Canadian children of ages 4–7 and living with two biological parents at initial interview in 1994 (N = 2,819), and comparing the mental health trajectories of children whose parents remain married with those whose parents divorce by 1998. Results from growth curve models confirm that, even before marital breakup, children whose parents later divorce exhibit higher levels of anxiety/depression and antisocial behavior than children whose parents remain married. There is a further increase in child anxiety/depression but not antisocial behavior associated with the event of parental divorce itself. Controlling for predivorce parental socioeconomic and psychosocial resources fully accounts for poorer child mental health at initial interview among children whose parents later divorce, but does not explain the divorce‐specific increase in anxiety/depression. Finally, a significant interaction between parental divorce and predivorce levels of family dysfunction suggests that child antisocial behavior decreases when marriages in highly dysfunctional families are dissolved.     

Employment Behaviors of Mothers Who have a Child with Asthma

The effects of having a child with asthma on the employment status and the continuity of full-time employment of mothers were investigated using data from the Medical Expenditure Panel Survey. Mothers who had a child with asthma were less likely to be employed full-time or part-time, and if single, they were less likely to retain their full-time jobs than other mothers. The effects of having a child with asthma depended on the marital status of the mother and the well-being of the child. Employment behaviors of single mothers were affected more than those of married mothers. The bed days of children reduced the prevalence and continuation of full-time employment for single and married mothers.     

The Child Health Disadvantage of Parental Cohabitation

This study uses Fragile Families data (N = 2,160) to assess health differences at age 5 for children born to cohabiting versus married parents. Regression analyses indicate worse health for children born to cohabiting parents, including those whose parents stably cohabited, dissolved their cohabitation, and married, than for children with stably married parents. The findings also suggest that stable cohabitation is no better for child health than cohabitation dissolution. Child health is better among those whose cohabiting parents marry than for those whose parents remain stably cohabiting, which indicates a possible health advantage of parental marriage, even if it occurs after the child's birth.     

Parental Depression and Anxiety and Early Childhood Behavior Problems Across Family Types

Using the Fragile Families and Child Wellbeing Study, we examine the association between parental major depressive and generalized anxiety disorders and child behavior problems across family types: married, cohabiting, involved nonresident father, and noninvolved nonresident father. Among 3‐year‐olds in all families, maternal anxiety/depression is associated with increased odds of anxious/depressed, attention deficit, and oppositional defiant disorders (N = 2,120). Paternal anxiety/depression has no significant association with these problem behaviors; father’s illness, however, exacerbates anxious/depressed behaviors in young children if both parents are ill and he is coresident. The findings underscore the importance of maternal mental health for child well‐being and suggest that a negative interaction between parent illnesses is most likely when parents and children share the same disorder.     

Medical Utilization and Health Expenditure of the Elderly in Taiwan

The present analysis, based upon data from the 1989 Taiwan Labor Force Survey, includes two parts. First, the determinants of physician visits and hospitalization by the elderly are analyzed according to the behavioral systems approach, and, second, variation in health expenditures among the elderly are examined using the Tobit model with sample selection. Findings show that elderly with good or poor health conditions are less likely to use medical services than the frail elderly and that married elders are less likely than the non-married to use medical care. The higher the educational level, the lower the probability of using formal medical services, and elderly who have health insurance are more likely to use formal health care than those who have no health insurance. The elderly who live with their children are less likely to use formal medical services than those who do not live with their children. Finally, among the elderly who have used formal health care, individual health expenditures are influenced primarily by three factors: health condition, health insurance, and residential location. Implications for Taiwan's relatively newly established national health insurance program (effective April 1, 1995) are discussed based upon the findings of this research.     

Age and gender differences in the well-being of midlife and aging parents with children with mental health or developmental problems: report of a national study

Using data from the Study of Midlife in the United States (MIDUS), this article examines: (1) the effect of having children with developmental or mental health problems on parents' mental and physical health, (2) the extent to which this effect varies by parental age and gender and (3) the effects of disability-related factors on the well-being of parents of children with disabilities. Compared to parents of non-disabled children, parents of disabled children experienced significantly higher levels of negative affect, marginally poorer psychological well-being, and significantly more somatic symptoms, controlling for sociodemographic variables. Mothers did not differ from fathers in their well-being. Older parents were significantly less likely to experience the negative effect of having a disabled child than younger parents, suggesting an age-related attenuation of the stress of non-normative parenting.     

Marriage and the economic status of women with children

Marriage is positively correlated with income, and women with children are much less likely to be in poverty if they are married. Selection into marriage makes it difficult to assess whether these correlations represent a causal effect of marriage. One instrument for marriage proposed in past research is the gender of a woman’s first child. We find that women who have a boy first are about 0.33 percentage points more likely to be married at any point in time. This effect operates through both increasing the probability that unmarried mothers marry the child’s father and reducing the probability of divorce. We also find that women whose first child is a boy experience higher levels of family income and are less likely to receive welfare income, be below the poverty line, and receive food stamps. Estimates using child gender as an instrumental variable for marriage suggest that marriage plays a large causal role in improving the economic well-being of women with children and that these effects are largest among women at the lower end of the income distribution.     

The Time Squeeze: Parental Statuses and Feelings About Time With Children

Policy makers, parents, and the public are concerned with perceived declines in parents’ time with children. Data from two national surveys (N = 1,159 and N = 821) used in this study show that nearly half of parents report feeling too little time with children. Work hours are strongly related to these feelings, even controlling for time spent with children, and explain why fathers more than mothers feel time strain. For fathers, those whose youngest child is an adolescent feel more strain than similarly situated mothers. Controlling for work hours, single parents are not more likely than married parents to feel that they spend insufficient time with children.     

Orphans at risk in sub-Saharan Africa: evidence on educational and health outcomes

Based on comparable data for eleven sub-Saharan African countries with especially high rates of orphanhood, we examine how orphanhood affects children’s educational and health outcomes. Using household fixed-effects to control for influences at the household level, we show that orphans do not only fare worse than non-orphans because they tend to live in poorer households, but that they are also at a disadvantage compared to non-orphans within the same household. They lag behind in education and are more often malnourished and stunted. (The coefficients on the health outcomes are only statistically significant for some of the countries and some of the health measures, however.) Moreover, we show that non-orphaned children not living with a biological parent are also worse off compared to biological children of the same caregivers. Educational gaps are particularly evident for children whose mother is deceased or absent. The additional effect of paternal death or absence is rather modest or insignificant in most countries.